Provider Demographics
NPI:1528191269
Name:SINCHAI, PRIT O (MD)
Entity Type:Individual
Prefix:
First Name:PRIT
Middle Name:O
Last Name:SINCHAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PRIT
Other - Middle Name:OAT
Other - Last Name:SINCHAI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:439 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-1509
Mailing Address - Country:US
Mailing Address - Phone:714-769-6386
Mailing Address - Fax:714-769-6387
Practice Address - Street 1:439 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866
Practice Address - Country:US
Practice Address - Phone:714-769-6386
Practice Address - Fax:714-769-6387
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102404207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000374756OtherANTHEM
IN200519730Medicaid
CABO857XMedicare PIN
IN000000374756OtherANTHEM
CABO857ZMedicare PIN